When is post-operative rehabilitation recommended for tibial plateau fracture?

The tibial plateau forms the upper surface of the shinbone at the knee. Surgery may restore alignment, but the bone and surrounding tissues still need time to heal under controlled load. Early physiotherapy can reduce stiffness, maintain hip and ankle movement, activate thigh muscles and teach safe transfers. Knee range, standing and walking are advanced according to imaging, examination findings, fixation stability and the surgeon’s weight-bearing instructions.

Use crutches, a frame or another aid as instructed, and keep the operated leg within its permitted loading level. Practise prescribed knee and ankle exercises without forcing a painful range. Elevate the leg when advised and watch for changes in swelling. Do not add walking distance, stairs or resistance training until the orthopaedic team approves the change.

Contact the team for worsening wound redness, drainage, fever, increasing pain, new numbness, a cold or pale foot, or swelling that is rapidly increasing. Urgent assessment is needed for sudden breathlessness, chest pain, fainting, or severe calf pain with swelling.

Ask how much weight is allowed, which knee movements are safe, when follow-up imaging will guide progression, and how to manage bathing, transfers and stairs.